Psychosocial Stressors in Patients Presenting with Depression Episodes: Psychosocial Stressors in Patients

Naeem Ullah  Leghari; Bushra  Akram; Ahmad Bilal

doi:10.54393/pjhs.v3i05.214

Authors

Naeem Ullah Leghari Department of Psychiatry & Behavioral Sciences, Nishtar Medical University, Multan
Bushra Akram Department of Applied Psychology, The Islamia University of Bahawalpur
Ahmad Bilal Department of Applied Psychology, The Islamia University of Bahawalpur

DOI:

https://doi.org/10.54393/pjhs.v3i05.214

Keywords:

Depression, Subsequent Depressive Episodes, Psycho-social stressors, Life events

Abstract

Depression is a mood disorder characterized by aversion to activities that affects a person's thoughts, behaviour, feelings, and sense of well-being. Objective: To explore the psychosocial stressors / life events and demographic variables in patients with major depression in 1^st and subsequent episodes with related sociodemographic factors in each. Methods: The sample of this study was 50 consecutive in-patients with Major Depression. Detailed open-ended interview was conducted and also administered The Presumptive Stressful Life Events Scale (PSLES) to elicit psychosocial stressors and major life events in 1^st episode and in the subsequent episodes. Results: showed that of the 50 subjects, majority of subjects 32(64%) were female, 13 (26%) were 26-30 years’ age group, 33(66%) belonged to urban area, 23(46%) were suffering from 3^rd and more depressive episodes, 21(42%) reported positive family history, 28(56%) were suffering for 3 months. In psychosocial stressors / life events, 26% had Death of spouse, in Marital and Sexual factors 16% patients reported relationship effect with spouse in 1^st, 22% in 2^nd and 30% in 3^rd Depressive episode and in financial difficulties 12% patients in 1^st episode, 20% and 28% in subsequent episodes. Conclusions: Study concluded that there was difference of psychosocial stressors in 1^st and subsequent episodes of depression.

References

Jager KJ, Kovesdy C, Langham R, Rosenberg M, Jha V, Zoccali C. A single number for advocacy and communication—worldwide more than 850 million individuals have kidney diseases. Nephrology Dialysis Transplantation. 2019 Nov; 34(11):1803-5.

Trappey AJ, Lin AP, Hsu KY, Trappey CV, Tu KL. Development of an Empathy-Centric Counseling Chatbot System Capable of Sentimental Dialogue Analysis. Processes. 2022 May;10(5):930.

Assari S and Lankarani MM. Stressful Life Events and Risk of Depression 25 Years Later: Race and Gender Differences. Public Health Frontier. 2016 Mar; 4:49. doi: 10.3389/fpubh.2016.00049.

Kendler KS and Gardner CO. Depressive vulnerability, stressful life events and episode onset of major depression: a longitudinal model. Psychological Medicine. 2016 Jul; 46(9):1865-74. doi: 10.1017/S0033291716000349.

Slavich GM, Monroe SM, Gotlib IH. Early parental loss and depression history: associations with recent life stress in major depressive disorder. Journal of psychiatric research. 2011 Sep; 45(9):1146-52. doi: 10.1016/j.jpsychires.2011.03.004.

Song X and Vilares I. Assessing the relationship between the human learned helplessness depression model and anhedonia. PLoS One. 2021 Mar;16(3): e0249056. doi: 10.1371/journal.pone.0249056.

Nuggerud-Galeas S, Sáez-Benito Suescun L, Berenguer Torrijo N, Sáez-Benito Suescun A, Aguilar-Latorre A, et al. Analysis of depressive episodes, their recurrence and pharmacologic treatment in primary care patients: A retrospective descriptive study. PLoS One. 2020 May; 15(5): e0233454. doi: 10.1371/journal.pone.0233454.

Kessler RC, Berglund P, Demler O, Jin R, Koretz D, et al. National Comorbidity Survey Replication. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association. 2003 Jun; 289(23):3095-105. doi: 10.1001/jama.289.23.3095.

Mitchell PB, Parker GB, Gladstone GL, Wilhelm K, Austin MP. Severity of stressful life events in first and subsequent episodes of depression: the relevance of depressive subtype. Journal of Affective Disorders. 2003 Feb; 73(3):245-52. doi: 10.1016/s0165-0327(01)00479-7.

American Psychiatric Association, American Psychiatric Association. DSM-5 Task Force Diagnostic and statistical manual of mental disorders: DSM-5. Washington. DC: American Psychiatric Association 2013.

Singh G, Kaur D, Kaur H. Presumptive stressful life events scale (PSLES)—a new stressful life events scale for use in India. Indian journal of psychiatry. 1984 Apr; 26(2):107.

Lewinsohn PM, Allen NB, Seeley JR, Gotlib IH. First onset versus recurrence of depression: differential processes of psychosocial risk. Journal of Abnormal Psychology. 1999 Aug; 108(3):483-9. doi: 10.1037//0021-843x.108.3.483.

Steunenberg B, Beekman AT, Deeg DJ, Kerkhof AJ. Personality predicts recurrence of late-life depression. Journal of Affective Disorders. 2010 Jun; 123(1-3):164-72. doi: 10.1016/j.jad.2009.08.002.

Strömberg R, Backlund LG, Löfvander M. Psychosocial stressors and depression at a Swedish primary health care centre. A gender perspective study. BMC Family Practice. 2011 Nov; 12:120. doi: 10.1186/1471-2296-12-120.

Irfan U, Sheikh S, Faisal M. Frequency of depression due to stress in female nurses. Khyber Medical University Journal. 2010; 2(1):10-4.

Brilman EI and Ormel J. Life events, difficulties and onset of depressive episodes in later life. Psychological Medicine. 2001 Jul; 31(5):859-69. doi: 10.1017/s0033291701004019.

Roca M, Gili M, Garcia-Campayo J, Armengol S, Bauza N, García-Toro M. Stressful life events severity in patients with first and recurrent depressive episodes. Social Psychiatry and Psychiatric Epidemiology. 2013 Dec; 48(12):1963-9. doi: 10.1007/s00127-013-0691-1.

Nandrino JL, Dodin V, Martin P, Henniaux M. Emotional information processing in first and recurrent major depressive episodes. Journal of psychiatric research. 2004 Oct; 38(5):475-84. doi: 10.1016/j.jpsychires.2004.03.002.

Shadrina M, Bondarenko EA, Slominsky PA. Genetics Factors in Major Depression Disease. Frontiers in psychiatry. 2018 Jul; 9:334. doi: 10.3389/fpsyt.2018.00334.

Clayton PJ, Halikas JA, Maurice WL. The depression of widowhood. The British Journal of Psychiatry. 1972 Jan; 120(554):71-7. doi: 10.1192/bjp.120.554.71.

Chouinard G, Chouinard VA, Corruble E. Beyond DSM-IV bereavement exclusion criterion E for major depressive disorder. Psychotherapy and Psychosomatics. 2011; 80(1):4-9. doi: 10.1159/000316966.

Ebrahim EM. The relationship of expressed emption with mental health in the families of bipolar patients. Revista Publicando. 2018;5(17):52-7.

Reinares M, Bonnín CM, Hidalgo-Mazzei D, Sánchez-Moreno J, Colom F, Vieta E. The role of family interventions in bipolar disorder: A systematic review. Clinical psychology review. 2016 Feb; 43:47-57. doi: 10.1016/j.cpr.2015.11.010.

Rounsaville BJ, Weissman MM, Crits-Christoph K, Wilber C, Kleber H. Diagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome. archives of general psychiatry. 1982 Feb; 39(2):151-6. doi: 10.1001/archpsyc.1982.04290020021004.

Jha V. Current status of end-stage renal disease care in India and Pakistan. Kidney International Supplements. 2013 May; 3(2):157-60.

Monroe SM and Harkness KL. Life stress, the "kindling" hypothesis, and the recurrence of depression: considerations from a life stress perspective. Psychological review. 2005 Apr;112(2):417-45. doi: 10.1037/0033-295X.112.2.417.

Wang J. Work stress as a risk factor for major depressive episode(s). Psychological medicine. 2005 Jun;35(6):865-71. doi: 10.1017/s0033291704003241.

Blanner Kristiansen C, Kjær JN, Hjorth P, Andersen K, Prina AM. Prevalence of common mental disorders in widowhood: A systematic review and meta-analysis. Journal of Affective Disorders. 2019 Feb; 245:1016-1023. doi: 10.1016/j.jad.2018.11.088

Trivedi JK, Sareen H, Dhyani M. Psychological aspects of widowhood and divorce. Mens Sana Monographs. 2009 Jan; 7(1):37-49. doi: 10.4103/0973-1229.40648.

Gopang N, Khushik AG, Begum S, Saeed S. An Analysis of Socio-Economic Conditions of Widows Living in Sindh University Colony Jamshoro, Sindh. The Women-Annual Research Journal of Gender Studies. 2012 Mar;4.

O'Connor RC, Rasmussen S, Hawton K. Predicting depression, anxiety and self-harm in adolescents: The role of perfectionism and acute life stress. Behaviour research and therapy. 2010 Jan; 48(1):52-9.

Abbasi S, Kousar R, Sadiq SS. Depression and anxiety in Pakistani infertile women. Journal of surgery Pakistan. 2016 Jan; 21(1):13-7.

Yusuf L. Depression, anxiety and stress among female patients of infertility; A case control study. Pakistan Journal of Medical Sciences. 2016 Dec; 32(6):1340-1343. doi: 10.12669/pjms.326.10828.

Ohrnberger J, Fichera E, Sutton M. The relationship between physical and mental health: A mediation analysis. Social Science and Medicine. 2017 Dec; 195:42-49. doi: 10.1016/j.socscimed.2017.11.008.